ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
A patient in her first trimester of pregnancy calls the nurse to ask for suggestions on decreasing nausea in the morning when she awakens. Which nonpharmacologic measures would the nurse be aware of to decrease nausea and vomiting? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Eating dry toast before rising. Dry toast can help absorb stomach acid and provide a bland source of nutrition, reducing nausea. Other choices are incorrect because eating high-fat foods (D) can worsen nausea, eating a high-protein bedtime snack (C) may not address morning nausea, and while eating small frequent meals (B) can help, it is not specific to morning nausea upon waking.
Question 2 of 5
A young adolescent—gravida 1, para 0—is admitted to labor and delivery with preterm labor at 29 weeks' gestation. Which nursing interventions would the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Administration of antenatal glucocorticoid. This intervention is recommended for women at risk of preterm birth before 34 weeks to promote fetal lung maturity. Glucocorticoids help accelerate fetal lung maturation by promoting the production of surfactant. This reduces the risk of respiratory distress syndrome in preterm infants. Choice B: Ordering a complete liver function profile is not directly related to managing preterm labor at 29 weeks' gestation. Choice C: Bed rest in the left lateral position is not a standard intervention for preterm labor and may not be supported by evidence-based practice. Choice D: Administration of bolus intravenous fluids is not a standard intervention for preterm labor. Fluid administration may be indicated if the patient is dehydrated or has other specific medical indications, but it is not a routine intervention for preterm labor.
Question 3 of 5
A patient received butorphanol 2 mg intravenously 10 minutes before delivery. Which nursing action is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Have naloxone available. Butorphanol is an opioid agonist-antagonist that can cause respiratory depression in the baby after delivery. Having naloxone available is crucial in case the baby exhibits signs of respiratory distress. Administering butorphanol subcutaneously (Choice A) is not indicated as the patient has already received it intravenously. Administering intravenous fluid bolus (Choice C) is not necessary unless the patient is hypovolemic. Placing oxygen 10 L by nasal cannula (Choice D) may help with maternal oxygenation but does not address the potential respiratory depression in the baby. Naloxone is the specific antidote for opioid-induced respiratory depression and should be readily available in this situation.
Question 4 of 5
Spinal anesthesia with morphine is administered to a patient for pain relief during cesarean section. She complains of itching. The nurse prepares to administer which drug?
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine. Diphenhydramine is an antihistamine that can help alleviate itching, a common side effect of morphine. It works by blocking histamine receptors. Ephedrine sulfate is a sympathomimetic drug used for hypotension, not itching. Butorphanol tartrate is an opioid analgesic, which may worsen itching. Lidocaine is a local anesthetic and does not address itching from systemic morphine. Diphenhydramine is the best choice to address the patient's itching while not interfering with the spinal anesthesia.
Question 5 of 5
The nurse is mentoring a new graduate who is preparing to administer the phytonadione injection to a newborn. Which muscle sites selected by the new graduate would indicate the need for further teaching? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Gluteus maximus. The injection site for phytonadione in newborns is the vastus lateralis muscle due to its larger muscle mass and reduced risk of nerve injury or damage. The gluteus maximus is not a recommended site as it has a higher risk of nerve injury and is not a standard injection site for newborns. Choices A, C, and D are incorrect because the anterolateral thigh, rectus femoris, and vastus lateralis are all appropriate sites for administering the phytonadione injection in newborns.